KELLI M VANOVERBEKE NP NPI 1952792640

NPI Information

  • NPI: 1952792640
  • Provider Name: KELLI M VANOVERBEKE, NP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 28963 LITTLE MACK AVE STE 101
    ST CLR SHORES, MI
    ZIP 48081
  • Phone: (586) 447-0700

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NPI Details

Kelli M Vanoverbeke, NP is a gerontology nurse practitioner in St Clr Shores, MI. Kelli M Vanoverbeke, NP NPI is 1952792640. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

28963 LITTLE MACK AVE STE 101
ST CLR SHORES, MI
ZIP 48081
Phone: (586) 447-0700
Fax: (586) 498-0707

The enumeration date for this NPI number is 2/17/2015 and was last updated on 5/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology4704165386MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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